| NPI | 1871013490 |
|---|---|
| Former Name | SARAH BREANNE FALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY pt-1785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 10380431-2401) |
| 225100000X Physical Therapist (Licence: CA 293531) | |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2024-06-05 |